Equine Stud Medicine Flashcards

1
Q

Owner Understanding Implications:

A

Costs - transport, vet, livery
Facilities - foaling box, paddocks, expertise
Time - care & management

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2
Q

Oestrus Cycle

A

Seasonally polyoestrus
Long day breeders - march/april

Spring Transition:
* Irregular oestrous behaviour
* Transitional ovary (multiple anovulatory follicles)

Normal Oestrus Cycle:
* Mean duration: 21 days
* Oestrous: 3-7 days (variable)
* Diestrus: 14-15 days

Ovulation:
* ~ 24 h before end of oestrous

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3
Q

Mare’s Cycle - Oestrus:

A
  • Mare is sexually receptive
  • High Oestrogen and LH and low progesterone
  • Cervix pink, moist, relaxed, open and oedematous
  • Uterus oedematous & flaccid
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4
Q

Mare’s Cycle - Dioestrus:

A
  • Mare rejects the stallion
  • High circulating progesterone (rises sharply after
    ovulation)
  • CL present
  • Follicular growth occurs
  • Cervix pale, firm, dry and closed
  • Uterine tone increases
  • PGF2a released from uterus on day 14 or 15 causes luteolysis & return to oestrus
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5
Q

Pre-breeding Exam - Mare

A
  • Signalment
  • History
  • General health and fitness
  • Reproductive exam:
    1. Genitalia
    2. Reproductive tract
    3. Mammary glands
  • Required tests and paperwork → Passport/CEM
  • Check stud requirements
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6
Q

Signalment - Age

A
  • Puberty: 1-2 years
  • Some breeders like to cover at 2 years (breed dependent)
    → Must be well grown and adequately fed for growth and reproduction
  • First covering at 5 to 6 years is optimal
  • Conception rate decreases after 6 years
  • Conception & foaling rates significantly decreased for maiden mares >12 yo → Common for performance mares
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7
Q

Signalment - Breed:

A
  • Pony breeds are intensely seasonal
    → But breed more successfully at older ages
  • Thoroughbreds require advancement of breeding season
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8
Q

External Genitalia:

A

Perineal and pelvic confirmation
* Integrity of the 3 caudal reproductive tract seals
→ Vulva, vestibule, cervix
→ Essential to prevent airborne or faecal contamination of the uterus
* Vulval conformation: 1st line of defence
→ Vulval lips meet on midline → Vulval seal
→ 80% of vulval opening below pelvic brim
→ Vulva < 10° off vertical
Pneumovaginum → faecal contamination
- can fix with sutures

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9
Q

Vaginal Examination:

A

Assess vestibular seal (2nd line of defence) and cervix (3rd line of defence)
* Aseptic procedure
‒ Mare back and washed and tail tied up.
‒ Sterile gloves
a) Manual (sterile): Feel - Integrity of vaginal wall and cervix?
b) Visual (sterile) speculum exam: Inspection of cranial vagina and cervix.
* Urine pooling
* Varicose veins
* Competence of cervix

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10
Q

Cervix:

A
  1. Dioestrus cervix - pale, firm, dry, closed
  2. Onset of oestrus -> pink, swollen, begin to open, folds less
  3. Towards end of oestrus -> pink, moist, swollen, relaxed, folds hang down, vascular appearance
  4. Pregnant cervix -> very hard, tightly closed, covered in pasty mucus
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11
Q

Rectal Exam:

A
  • Rectal palpation
    → Uterus and Ovaries
  • Systematic approach
    → Defines individual mare anatomy prior to ultrasonography
  • Generates info which augments subsequent ultrasonographic findings
    → Ovarian size and shape,
    → Follicle size, consistency, location
    → Uterine tone, consistency, pregnancy
  • Rectal tears potentially life threatening:
    → Never ignore blood on sleeve!
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12
Q

Transrectal Ultrasound

A

Uterine fluid
Uterine oedema
Uterine cysts
Uterine horn & body
Ovaries

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13
Q

Uterine Oedema Grading:

A

Grade 0 - no oedema
Grade 1 - small amount of oedema
Grade 2 - moderate amount of oedema
Grade 3 - large amount of oedema target

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14
Q

Uterine Fluid:

A
  • Fluid build-up in the uterus can prevent establishment and maintenance of pregnancy
  • Fluid seen prior to breeding:
    → Treat if >1cm.
    → Treat & Investigate if >2cm?
  • Often seen post breeding
    → natural response to foreign material. Most mares clear this in 24-48 hours
  • Older mares/multiparous/poor conformation → delayed uterine clearance → low grade endometritis
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15
Q

Prevention of Venereal Disease

A

Routine:
- Bloods - EVA, EIA
- Clitoral swabs - CEM
- Endometrial swab

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16
Q

Diseases Tested For:

A

Equine Viral Arteritis (EVA) – Notifiable
→ Blood test – ELISA
→ Semen accompanied by a certificate confirming disease free status

Equine Infectious Anaemia (EIA) – Notifiable
→ Blood test – ELISA or Coggins test

Contagious Equine Metritis (CEM) – Notifiable
→ Taylorella equigenitalis
→ Clitoral swab, endometrial swab

Klebsiella pneumoniae (clitoral swab, endometrial swab)
Pseudomonas aeruginosa (clitoral swab, endometrial swab)

17
Q

Clitoral Swabs:

A
  • Required for all breeding (AI and natural service)
  • After January 1st
  • Clitoral sinus and fossa
  • Do NOT clean site before swabbing
  • Klebsiella pneumoniae
  • Pseudomonas aeruginosa
  • Taylorella equigenitalis – NOTIFIABLE CEM

Amies Charcoal transport medium
→ Culture +/- PCR
→ Aerobic and microaerophilic culture

18
Q

Endometrial Swabs:

A
  • Not done in every case (cf clitoral swabs)
  • Required for natural service
  • Collected during estrus
  • Aseptic procedure
  • Double guarded swab
  • Smear for cytology on glass slide
  • Place swab into appropriate transport culture media → Aerobic culture +/- microaerophilic culture
19
Q

Natural Service

A

Pasture Mating:
Adv - labour efficient, cheapest
Disadv - venereal infection, injury

Hand Mating:
Adv - less injury, conserves stallion
Disadv - time & labour intensive, increased cost

20
Q

Artificial Insemination:

A
  • Increased choice of stallions
  • Access to stallions that are geographically inaccessible (or dead!)
  • Decreased risk to mare (of venereal disease etc) compared with natural insemination
  • Eliminates risk to stallion
  • Mares with young foals do not need to be transported
  • Decreased travel cost and inconvenience but increased equipment/facilities/labour costs

Stallion Considerations:
Where is stallion based and what format is semen available?
‒ Fresh (stallion needs to be onsite)
‒ Chilled (Stallion needs to be on same continent)
‒ Frozen (Worldwide – providing semen is in the UK prior to breeding)
How much notice is needed for (chilled) semen?
‒ (Normally approx. 2 days)

21
Q

Breeding Protocol

A

Initial Exam:
- Mare evaluation
- Stage oestrus cycle
- Treat to advance ovulation

Subsequent exams:
- Monitor changes
- Predict/ induce ovulation

Inseminate/ mate
Post breeding exam

22
Q

Semen Evaluation

A
  • Motility
  • Morphology
  • Volume and Concentration
  • Fresh – Immediate use → 500 x 106 PM sperm
  • Chilled – Delayed use (24h) → 500 x 106 PM sperm
  • Frozen – Delayed use (whenever) → 300 x 106 PM sperm
23
Q

Semen:

A

Semen survival in mare:
→ Fresh – approx. 72 hours
→ Chilled – approx. 36 hours
→ Frozen – approx. 12 hours

24
Q

Prostaglandins:

A

Corpus luteum present, No oedema, Cervix tight

25
Q

Induce Ovulation

A
  1. Simulate ‘LH surge’
    * Human chorionic gonadatrophin (hCG)
    → Follicle 3.5cm plus uterine oedema 3
    → ‘Chorulon’, 1500 to 3000iu IV
    → >80% mares ovulate within 48h (mean 36h)
  2. Simulate ‘GnRH surge’ to induce endogenous LH secretion * Deslorelin
    → Follicle >3cm, some uterine oedema
    → ‘Ovuplant’, single s/c implant in ‘bleb’ LA in vulval lip or 1-2mg IM
    → Remove implant after mare has ovulated (post insemination)
    → 90% mares ovulate within 36-42h
26
Q

Semen Quality:

A
  • Warmed microscope stage essential
  • Prepare microscope and slides BEFORE opening semen
    container
  • Mix semen gently and add a 20μl drop to a warmed (37oC) slide and cover
  • Place on warm stage and assess percentage of sperm which are PROGRESSIVELY MOTILE after 1 minute.
  • Assess morphology

Check before insemination - fresh and chilled
Check after insemination - frozen

27
Q

Insemination

A
  • Mare restrained in stocks
  • Mare prepared:
    → Tail wrapped in sleeve or tail bandage and held to the side
    → The perineum is washed with water ONLY and then dried
  • If chilled semen: usually arrives in pre-filled syringe, does not require warming (cf frozen semen)
  • Semen loaded into insemination syringe and catheter
  • Sterile rectal sleeve sterile KY jelly utilised
  • Deposit semen in body of uterus
28
Q

Frozen:

A
  • Ideally inseminated at the same time as follicle is ovulated
  • Oocyte only lasts 6 hours post ovulation therefore must keep checking the growth of the follicle every 6 hours
  • At ovulation, semen removed from liquid nitrogen and placed in water bath at 37°C for 30 seconds
  • Dry with paper towel, collect into catheter, place into uterus and inseminate
  • Water is highly spermicidal → Vulva
    → Water bath
29
Q

Frozen Semen Insemination

A

More precise insemination time
* 12h before to 6h after ovulation

Option 1 - Monitor Frequently
* Induction to ovulation
* Time consuming
* Semen conservative
* Better conception rates

Option 2 - 2x fixed time inseminations (42-48hrs after hCG)
(Mare must have appropriately sized follicle and maximal uterine oedema)
* Ensures fertile sperm are present within 12h before to 6h after ovulation
* Time conservative
* Semen consuming
* Similar conception rates possible

30
Q

Post Breeding US Exam:

A
  • Usually 24h post-service
    → Confirm ovulation (CH)
    → Detect and treat abnormal fluid accumulations in uterus
    Fluid accumulation (poor uterine clearance = common)
    Low volume (< 1cm):
    o Oxytocin: 20iu IM & IV
    o Can be initiated 4h post-breeding and continue every 6h until clear
    High volume
    o Uterine lavage (up to 3L in total)
    o Oxytocin: 20iu IM & IV
    o Antibiosis (intra-uterine) if suspicious of infection or following swab results
    Persistent mating-induced Endometritis (PMIE)
    o Prolonged inflammation (>48h) of endometrium caused by sperm o 10-15% of mares affected
  • If fluid clear (hypoechoic) on US → likely sterile
  • If fluid cloudy (hyperechoic flecks) → suggests infection
  • Embryo arrives in uterus day 5 after ovulation – all ‘clean-up’ work (lavage, etc) must be done before this.
31
Q

Pregnancy Diagnosis

A
  • Day 14 post ovulation
    → Pregnancy diagnosis: 14-18mm
    → If there is only one pregnancy, check for a second CL
  • Day 16
    → Management of twin
    pregnancies
    → Much easier before implantation on day 17
  • Day 28 after ovulation → Heartbeat scan
32
Q

Twin Pregnancies

A
  • Major cause of abortion if allowed to carry
  • Abort due to lack of placental area to support 2 fetuses
  • TBs: 20-30% multiple ovulation rate

Treatment:
* Manual reduction prior to implantation
* If different sizes, the smaller vesicle is
reduced
* Separate embryos
* Administer flunixin meglumine and
altrenogest?
* Recheck the mare the next day

33
Q

Embryo

A
  • Collection of fertilized oocyte (embryo) from donor mare
  • Transferring it to synchronized reproductive tract of recipient mare
  • Step 1: Synchronize ovulation between donor and recipient mares
  • Step 2: Inseminate donor mare
  • Step 3: Donor mares uterus flushed at 7-8 days
    post ovulation to retrieve the embryo
  • Step 4: Retrieved embryo is transferred into the uterus of a recipient mare
  • Embryo recovery and transfer rate – 50-70%
  • Pregnancy rate – 25-50%